MS. MARY KATHRYN OUTLAND (MSW, LCSW) – Clinical Social Worker, NPI 1508830530

MS. MARY KATHRYN OUTLAND (MSW, LCSW) is a healthcare provider. based in Salem, Oregon. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. They hold a License No. 1178 (OR). The NPI Number for MS. MARY KATHRYN OUTLAND (MSW, LCSW) is 1508830530

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARY KATHRYN OUTLAND (MSW, LCSW)
NPI
1508830530
Phone
(503) 363-8075
Address
4035 12TH STREET CUTOFF SE
Enumeration Date
15 February 2006
Last Update Date
30 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5033621999
Graduation Year
1986 (40 years ago)
PAC ID
7911187109
Group Practice PAC ID
6002702420
Professional Enrollment ID
I20110204000403
Address ID
OR973024121SA821XXSXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,405 CLINICAL SOCIAL WORKER in OR

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Provider Addresses for MS. MARY KATHRYN OUTLAND (MSW, LCSW)

  • 4035, 12th Street Cutoff Southeast, South Salem, Salem, Marion County, Oregon, 97302, United States

    SUITE 140

    SALEM, OR 97302

    Phone: (503) 363-8075

    Fax: (503) 315-7571

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110204000403IClinical Social WorkerORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour25116$0
View full utilization report →

Insurance plans in this area (ZIP 97302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002702420View full group profile
NameSpecialtyState
Mental Health CounselorOR
Nurse PractitionerOR
Clinical Social WorkerOR
Clinical Social WorkerOR
Clinical Social WorkerOR
-OR
Clinical Social WorkerOR
Nurse PractitionerOR
P S Y C H I A T R YKY
Clinical Social WorkerOR

Reviews

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Frequently asked questions

Does MS. MARY KATHRYN OUTLAND (MSW, LCSW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. MARY KATHRYN OUTLAND (MSW, LCSW) uses 1508830530.
Does the file indicate MS. MARY KATHRYN OUTLAND (MSW, LCSW) is practicing under active NPI?
Directory data currently reports MS. MARY KATHRYN OUTLAND (MSW, LCSW) as active.
What healthcare role does MS. MARY KATHRYN OUTLAND (MSW, LCSW) hold?
Scheduling teams often label MS. MARY KATHRYN OUTLAND (MSW, LCSW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does MS. MARY KATHRYN OUTLAND (MSW, LCSW) serve?
MS. MARY KATHRYN OUTLAND (MSW, LCSW)'s listing highlights Salem, Oregon; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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